EP1701670B1 - Système et procédé pour hyoidoplastie - Google Patents

Système et procédé pour hyoidoplastie Download PDF

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Publication number
EP1701670B1
EP1701670B1 EP04814718.5A EP04814718A EP1701670B1 EP 1701670 B1 EP1701670 B1 EP 1701670B1 EP 04814718 A EP04814718 A EP 04814718A EP 1701670 B1 EP1701670 B1 EP 1701670B1
Authority
EP
European Patent Office
Prior art keywords
brace
implant
positioning
hyoid
pharyngeal structure
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Not-in-force
Application number
EP04814718.5A
Other languages
German (de)
English (en)
Other versions
EP1701670A2 (fr
EP1701670A4 (fr
Inventor
Chad C. Roue
Adam Kessler
Mark Hirotsuka
Jasper Jackson
Erik J. Van Der Burg
Michael T. Dineen
Andrew Frazier
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips NV
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Koninklijke Philips NV filed Critical Koninklijke Philips NV
Publication of EP1701670A2 publication Critical patent/EP1701670A2/fr
Publication of EP1701670A4 publication Critical patent/EP1701670A4/fr
Application granted granted Critical
Publication of EP1701670B1 publication Critical patent/EP1701670B1/fr
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8872—Instruments for putting said fixation devices against or away from the bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0465—Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • A61M16/0472—Devices for performing a tracheostomy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A61B17/8071—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for the jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/842—Flexible wires, bands or straps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564—Methods for bone or joint treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56—Devices for preventing snoring

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pulmonology (AREA)
  • Neurology (AREA)
  • Cardiology (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Prostheses (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Claims (15)

  1. Implant d'hyoidoplastie pour positionnement dans une structure pharyngienne, comprenant :
    un corps d'implant comprenant un premier bras de renforcement (39) et un second bras de renforcement (39) ;
    une première zone de contact avec le tissu sur le premier bras de renforcement (39) configurée pour être en contact avec une première partie d'une structure pharyngienne ;
    une seconde zone de contact avec le tissu sur le second bras de renforcement (39) configurée pour être en contact avec une seconde partie d'une structure pharyngienne ; et
    une liaison entre les première et seconde zones de contact qui permet un déplacement angulaire des première et seconde zones de contact l'une par rapport à l'autre ;
    caractérisé en ce que l'implant comprend en outre un verrou (67) supporté par le corps, pour fixer l'angle entre les première et seconde zones de contact, le verrou (67) se situant entre les deux bras de renforcement (39) et pouvant être attaché aux deux bras de renforcement (39), dans lequel le verrou (67) comprend un élément de verrouillage allongé (68) avec au moins une extrémité interfaçable (69) et au moins une interface de verrouillage (70) située sur l'un des premier et second bras de renforcement (39).
  2. Implant pour positionnement dans une structure pharyngienne selon la revendication 1, dans lequel l'au moins une partie de la structure pharyngienne comprend un muscle suprahyoïde, un os hyoïde ou un muscle infrahyoïde.
  3. Implant pour positionnement dans une structure pharyngienne selon la revendication 1, dans lequel la structure pharyngienne est un os hyoïde, et dans lequel la première partie et la seconde partie de la structure pharyngienne comprennent une première partie de l'os hyoïde et une seconde partie de l'os hyoïde respectivement.
  4. Implant pour positionnement dans une structure pharyngienne selon la revendication 3, dans lequel la liaison est sélectionnée dans le groupe comprenant une partie flexible du corps, une charnière et un élément flexible supporté par le corps.
  5. Implant pour positionnement dans une structure pharyngienne selon la revendication 3 ou 4, dans lequel le verrou (67) comprend une tige filetée (71) ou un ajustement avec serrage.
  6. Implant pour positionnement dans une structure pharyngienne selon les revendications 3-5, dans lequel la première zone de contact comprend une structure déformable adaptée pour se conformer à l'os hyoïde.
  7. Implant pour positionnement dans une structure pharyngienne selon l'une quelconque des revendications 3-6, dans lequel la liaison est une articulation pivotante.
  8. Implant pour positionnement dans une structure pharyngienne selon la revendication 7, dans lequel l'articulation pivotante comprend une articulation sphérique (48).
  9. Implant pour positionnement dans une structure pharyngienne selon la revendication 7, dans lequel l'articulation pivotante comprend un ou plusieurs fils (49).
  10. Implant pour positionnement dans une structure pharyngienne selon la revendication 7, dans lequel l'articulation pivotante comprend un ou plusieurs rubans (50).
  11. Implant pour positionnement dans une structure pharyngienne selon la revendication 7, dans lequel la liaison comprend un axe à épaulement (51).
  12. Implant pour positionnement dans une structure pharyngienne selon la revendication 7, dans lequel la liaison comprend une articulation à charnière (47).
  13. Implant pour positionnement dans une structure pharyngienne selon l'une quelconque des revendications 3-7, dans lequel le verrou (67) comprend un ou plusieurs éléments de fixation.
  14. Implant pour positionnement dans une structure pharyngienne selon l'une quelconque des revendications 1-13, dans lequel l'au moins une interface de verrouillage (70) est attachée au bras de renforcement (39) sur lequel elle se situe de telle sorte qu'un certain déplacement relatif entre l'interface de verrouillage (70) et le bras de renforcement (39) est assuré.
  15. Implant pour positionnement dans une structure pharyngienne selon la revendication 1, dans lequel l'élément de verrouillage allongé (68) comprend une tige filetée rotative (71) et l'au moins une interface de verrouillage (70) est un trou fileté (73), et dans lequel le verrou (67) est agencé de telle sorte que la rotation de l'élément de verrouillage allongé (68) dans une première direction de rotation ferme l'angle entre les premier et second bras de renforcement (39) en faisant avancer l'élément de verrouillage allongé (68) de manière distale le long de son axe longitudinal, et la rotation de l'élément de verrouillage allongé (68) dans une direction opposée ouvre l'angle entre les premier et second bras de renforcement (39).
EP04814718.5A 2003-12-15 2004-12-15 Système et procédé pour hyoidoplastie Not-in-force EP1701670B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/736,457 US8821495B2 (en) 2003-12-15 2003-12-15 System and method for hyoidplasty
PCT/US2004/042571 WO2005058146A2 (fr) 2003-12-15 2004-12-15 Systeme et procede pour hyoidoplastie

Publications (3)

Publication Number Publication Date
EP1701670A2 EP1701670A2 (fr) 2006-09-20
EP1701670A4 EP1701670A4 (fr) 2009-08-26
EP1701670B1 true EP1701670B1 (fr) 2017-02-22

Family

ID=34653919

Family Applications (1)

Application Number Title Priority Date Filing Date
EP04814718.5A Not-in-force EP1701670B1 (fr) 2003-12-15 2004-12-15 Système et procédé pour hyoidoplastie

Country Status (3)

Country Link
US (1) US8821495B2 (fr)
EP (1) EP1701670B1 (fr)
WO (1) WO2005058146A2 (fr)

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Also Published As

Publication number Publication date
US8821495B2 (en) 2014-09-02
WO2005058146A2 (fr) 2005-06-30
EP1701670A2 (fr) 2006-09-20
WO2005058146A3 (fr) 2005-08-04
EP1701670A4 (fr) 2009-08-26
US20050126563A1 (en) 2005-06-16

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